﻿<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<!-- saved from url=(0029)http://www.helpandmanual.com/ -->
<head> 
   <!-- Premium Pack Version 1.24 Template design (c) copyright 2008-2009 by Tim Green and EC Software -->
   <title>HIV Care/ART Encounter</title> 
   <meta name="generator" content="Help &amp; Manual" /> 
   <meta name="keywords" content="" />
   <meta name="description" content="HIV Care/ART Encounter" />
   <meta name="copyright" content="© 2012 Futures Group" /> 
   <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />                                         
   <link type="text/css" href="default.css" rel="stylesheet" />
   <link type="text/css" href="custom.css" rel="stylesheet" />
   <script type="text/javascript" src="jquery-1.3.2.min.js"></script>
   <script type="text/javascript" src="jquery.scrollTo-min.js"></script>
   <script type="text/javascript" src="nsh.js"></script>

<script type="text/javascript">

</script>



<style type="text/css">
   .help-url { font-size: 8pt; font-family: Verdana, Helvetica, sans-serif; 
               color: #000; text-align: center; margin: 15px 20px 20px 0px; 
               padding-top: 5px; border-top: 1px solid #000;}
   .help-url a { color: #000; text-decoration: none; }
   .help-url a:visited { color: #000; }
   .help-url a:hover { color: #000; text-decoration: underline; }
   .highlight {background: #ffff40;}
</style>







<!-- CSS set with project variables and local attributes --> 
<style type="text/css" media="screen"> 
   body { background: #fff; } 
   #breadcrumbs { width: 100%; background-color: white; border: 1px solid #000; padding: 2px 0 1px 2px;
   margin: 3px 0; font-size: 8pt; color: #000;}
   #breadcrumbs a { color: #000; text-decoration: none;}
   #breadcrumbs a:visited { color: #000; }
   #breadcrumbs a:hover { color: #098ae2; text-decoration: none; }
</style> 

<!-- Adjustment for IE -->
<!--[if lte IE 8]>
<style type="text/css">
.topichead { padding-right: 0; }
#autoTocWrapper ul li { padding: 3px 3px 4px 3px;}

   .breadhead {
   margin: 0;
   padding-right: 5px;
   }
   img#togtoc {
       bottom:1px; 
    }   

   
</style>
<![endif]-->
   
<script type="text/javascript">
// Initialize the page 
addEvent(window, "load", nsrInit);
addEvent(window, "load", doResize);
addEvent(window, "resize", doResize);
if (!$.browser.msie) {
addEvent(window, "load", toggleJump);
}
</script>

<script type="text/javascript" src="helpman_topicinit.js"></script>
<!-- Redirect browser to frame page if page is not in the content frame. -->
<script type="text/javascript">
<!--
if (location.search.lastIndexOf("toc=0")<=0) {
  if (parent.frames.length==0) { parent.location.href="index.html?hiv_care_encounter.htm"; }
  else { parent.quicksync('a11.4.3'); }
}
//-->
</script>
<script type="text/javascript" src="highlight.js"></script></head> 
<body onload="highlight();">
<div id="hmpopupDiv" style="visibility:hidden; position:absolute; z-index:1000; "></div>
<!--ZOOMSTOP-->

<div id="printheader">
<span id="printtitle">IQCare User Guide V3.2</span><br />
<p class="p_Heading1"><span class="f_Heading1">HIV Care/ART Encounter</span></p>
</div>
<div id="idheader" style= "background: #a7d7f8 url('bg_topichd.gif') repeat-x bottom;"> 
<table id="breadtable" width="100%" border="0" cellspacing="0" cellpadding="0"> 
  <tr >
  <td align="left" class="breadhead" height="5">
        
  </td>
  </tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0" id="headtable"> 

<!-- Script version of NavHeader -->
<tr id="scriptNavHead" valign="middle" style="height: auto;">
   
   <td align="left" class="topichead">
   <p class="p_Heading1"><span class="f_Heading1">HIV Care/ART Encounter</span></p>

   </td>
   
   <td align="center" width="20" class="idnav" valign="bottom">
     <a href="art_care.htm"
        onmouseover="document.images.prev.src='button_prev_h.gif'" 
        onmouseout="document.images.prev.src='button_prev.gif'">
        <img name="prev" src="button_prev.gif" border="0" alt="Previous topic" title="Previous topic" /></a>
     
   </td>
   
   <td align="center" width="20" class="idnav" valign="bottom">
     <a href="exposed_infant.htm"
        onmouseover="document.images.next.src='button_next_h.gif'" 
        onmouseout="document.images.next.src='button_next.gif'"><img name="next" src="button_next.gif" border="0" alt="Next topic" title="Next topic" /></a>
        
   </td>
   
   
   
  
   <td width="4">&nbsp;</td>
  </tr>
<!-- End script navheader version -->

<!-- NoScript version of navheader -->
  <tr id="noScriptNavHead" valign="middle" style="height: auto;"> 
    <td align="left" class="topichead"> 
    <p class="p_Heading1"><span class="f_Heading1">HIV Care/ART Encounter</span></p>

    </td>
    <td align="center" width="20" class="idnav" valign="bottom">
     <a href="art_care.htm">
        <img src="button_prev.gif" border="0" alt="Previous topic" title="Previous topic" /></a>
     
   </td>
   <td align="center" width="20" class="idnav" valign="bottom">
     <a href="exposed_infant.htm">
        <img src="button_next.gif" border="0" alt="Next topic" title="Next topic" /></a>
        
   </td>
   
   
   
   
   <td width="4">&nbsp;</td>
  </tr>
<!-- End noscript navheader version -->
  </table>
<div id="autoTocWrapper"></div>
</div> 

<div id="idcontent"><div id="innerdiv">
<!--ZOOMRESTART-->
<p>&nbsp;</p>
<div style="text-align: left; text-indent: 0px; padding: 0px 0px 0px 0px; margin: 0px 0px 0px 10px;"><table width="80%" cellspacing="0" cellpadding="0" border="0" style="border: none; border-spacing:0px; border-collapse: collapse;">
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" bgcolor="#c0c0c0" style="width:168px; height:19px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri'; font-weight: bold;">Field Label</span></p>
</td>
<td valign="top" width="163" bgcolor="#c0c0c0" style="width:163px; height:19px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri'; font-weight: bold;">Display Type</span></p>
</td>
<td valign="top" width="163" bgcolor="#c0c0c0" style="width:163px; height:19px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri'; font-weight: bold;">Business Rule</span></p>
</td>
<td valign="top" width="178" bgcolor="#c0c0c0" style="width:178px; height:19px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri'; font-weight: bold;">Table Name</span></p>
</td>
<td valign="top" width="177" bgcolor="#c0c0c0" style="width:177px; height:19px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri'; font-weight: bold;">Column Name</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Visit Date</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Date</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Ord_Visit</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">VisitDate</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">If Scheduled</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Checkbox</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientARTEncounter</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Scheduled</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">TreatmentSupportName</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientARTEncounter</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">SupporterName</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">TreatmentSupportContact</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientARTEncounter</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">TreamentSupporterContact</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">FollowUpDate</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Date</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientAppointment</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">AppDate</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td colspan="2" valign="top" style="height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Duration in months since starting ART</span></p>
</td>
<td colspan="3" valign="top" width="235" style="width:235px; height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Calculated field. </span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">The lesser of (Visit Date or ART ended date) minus (Historical ART Start date OR the ART Started at this facility date)</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td colspan="2" valign="top" style="height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Duration in months since starting current regimen</span></p>
</td>
<td colspan="3" valign="top" width="235" style="width:235px; height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Calculated field.</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">The lesser of (Visit Date or ART ended date) minus (first dispensed by date of the current regimen)</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" bgcolor="#99ccff" style="width:168px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri'; font-weight: bold;">Clincal Status</span></p>
</td>
<td valign="top" width="163" bgcolor="#99ccff" style="width:163px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="163" bgcolor="#99ccff" style="width:163px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" bgcolor="#99ccff" style="width:178px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="177" bgcolor="#99ccff" style="width:177px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Weight</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientVitals</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Weight</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Height</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientVitals</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Height</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Oedema</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Radio</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Enable when stictly less than 60 months of age</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientVitals</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Oedema</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:77px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Pregnant</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:77px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Radio</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:77px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Display for females only;</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">When patient is less than or equal to 12 years old the options will be disabled.</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:77px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientClinicalStatus</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:77px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Pregnant</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">EDD</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Date</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Display for females only</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">&lt;=12 year disable</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientClinicalStatus</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">EDD</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Gestation</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Display for females only</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">&lt;=12 year disable</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientDelivery</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">GestAge</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">PMTCT</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Checkbox</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Display for females only</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">&lt;=12 year disable</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientClinicalStatus</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">PMTCT</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:136px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">PMTCT/ANC No.</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:136px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:136px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';"> Display for females only</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">&lt;=12 year disable</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Save in Mst_Patient table only when ANCNumber column is null or blank. Should be autopopulated, in case of existing data.</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:136px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Mst_Patient</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:136px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">ANCNumber</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">DeliveryDate</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Date</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Save/Update according to user Input</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientClinicalStatus</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">DateofDelivery</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:116px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Post Partum</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:116px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:116px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Display for females only</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">&lt;=12 year disable</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Calculated Field. Check if the Patient has delivered (Delivery Date is filled.)</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:116px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">No table</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:116px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">No Field</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Family Planning</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">When patient is less than or equal to 12 years old the options will be disabled.</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientCounseling</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">FamilyPlanningStatus</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Family Planning Methods</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Multi select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Display only if FP is "On Family Planning" is selected</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">When patient is less than or equal to 12 years old the options will be disabled.</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientFamilyPlanning</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">FamilyPlanningMethod</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">MUAC</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Should be Visible if patient age is less or equal to than 60 months; </span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Display in months</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientClinicalStatus</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">MUAC</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Age</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Calculated. Visitdate - Date of Birth (Months) with decimal displayed to one digit</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Should be Visible if patient age is less or equal to than 60 months</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">No table</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:97px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">No Field</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">TBStatus</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientOtherTreatment</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">TBStatus</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">TB RX Start</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Date</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Display if TB Rx selected.</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Date should be greater than patient DOB</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientOtherTreatment</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">TBRxStartDate</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">TB RX Stop</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Date</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Display if TB Rx selected.</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Date should not be less than RX Start Date</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientOtherTreatment</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">TBRxEndDate</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">TB Reg #</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Display if TB Rx selected.</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Potential Side Effects</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Multi select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientSymptoms</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Symptomid</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Potential Side Effects Other</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">New OI, Other Problems</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Multi select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientDisease</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Disease_Pk</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">New OI Other</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Nutritional Problem</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Display this field only when patient age is below 60 months. &nbsp; Mst_Nutritionalproblem</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientARTEncounter</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:58px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">NutritionalProblem</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">WAB Stage</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientStage</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">WABStage</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">WHO Stage</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list options: NA, 1, 2, 3, 4, T1, T2, T3, T4</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientStage</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">WHOStage</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" bgcolor="#99ccff" style="width:168px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri'; font-weight: bold;">Pharmacy</span></p>
</td>
<td valign="top" width="163" bgcolor="#99ccff" style="width:163px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="163" bgcolor="#99ccff" style="width:163px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" bgcolor="#99ccff" style="width:178px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="177" bgcolor="#99ccff" style="width:177px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Pharmacy</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Button</span></p>
</td>
<td colspan="3" valign="top" width="235" style="width:235px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Open Adult/Peadeatric Pharmacy form according to Age of the patient</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">CPT Adherence-Adhere</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_Adherence_Reason</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">CotrimoxazoleAdherence</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">ARV Adherence - Adhere</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientAdherence</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">ARVAdhere</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">ARV Adherence - Why Poor/Fair</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Display if fair or poor selected</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientAdherence</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">ARVAdhereceReason</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">ARV Adherence - Other</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Only enabled when Other is selected in Why Poor/Fair Option</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientAdherence</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">AdherenceReasonOther</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Substitution-Interuption</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Required field</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientARVTherapy</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">TherapyPlan</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:310px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Substitution-Interuption - Change Reason</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:310px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">If Changed: Select list</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">[1=Toxicity/Side effects, 2=Pregnancy, 3=Risk of pregnancy, 4=Due to new TB, 5=New drug available, 6=Drug out of stock, 7=Other reasons (specify)]</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">If Stopped: Select list</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">[1=Toxicity/Side effects, 2=Pregnancy, 3=Risk of pregnancy, 4=Due to new TB, 5=New drug available, 6=Drug out of stock, 7=Other reasons (specify), 8=Clinical treatment failure, 9=Immunologic failure]</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:310px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Required field if Change, Stopped selected</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:310px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientARVTherapy</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:310px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">TherapyReasonCode</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" bgcolor="#99ccff" style="width:168px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri'; font-weight: bold;">Investigations</span></p>
</td>
<td valign="top" width="163" bgcolor="#99ccff" style="width:163px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="163" bgcolor="#99ccff" style="width:163px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" bgcolor="#99ccff" style="width:178px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="177" bgcolor="#99ccff" style="width:177px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Laboratory-Investigation</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Button</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Open Laboratory Form</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td colspan="2" valign="top" width="163" bgcolor="#99ccff" style="width:163px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri'; font-weight: bold;">Referrals and Consultations</span></p>
</td>
<td valign="top" width="163" bgcolor="#99ccff" style="width:163px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" bgcolor="#99ccff" style="width:178px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="177" bgcolor="#99ccff" style="width:177px; height:19px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Referred To</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Multi select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientReferredTo</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">PatientRefId</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Referred To-Other</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Only enabled when Other is selected in Referred To Option</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientReferredTo</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">PatientRefDesc</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">No of Days Hospitalized</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Text box</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientCounseling</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">HospitalizedNumberofDays</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Nutritional Support</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientCounseling</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">NutritionalSupport</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Infant Feeding Practice</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Select list</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Enable if the patient is &lt; 2 years OR Female and &gt;12 years</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_InfantInfo</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:39px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">FeedingOption</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="168" style="width:168px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">AttendingClinician</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="163" style="width:163px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="178" style="width:178px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">Dtl_PatientARTEncounter</span></p>
</td>
<td valign="top" width="177" style="width:177px; height:19px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 11pt; font-family: 'Calibri';">AttendingClinician</span></p>
</td>
</tr>
</table>
</div>
<p>.</p>

<!--ZOOMSTOP--> 

</div></div> 
</body>
<!--[if IE]>
<script type="text/javascript" defer="defer">
$("#hmcontent",window.parent.document).ready(function() {
var doTogJump=setTimeout("toggleJump()", 0);
      });
</script>
<![endif]-->
</html>
